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Referral Specialist

Company: MercyOne
Location: Ankeny
Posted on: January 5, 2022

Job Description:

Overview: MercyOne Central Iowa operates four not-for-profit, Catholic medical centers in Des Moines, West Des Moines, Newton and Centerville and two specialty hospitals MercyOne Childrens Hospital in Des Moines and MercyOne Rehabilitation Hospital in Clive (965 beds total) along with more than 20 additional facilities that house more than 50 primary care, pediatric, internal medicine and specialty clinics. Founded by the Sisters of Mercy in 1893, MercyOne Central Iowa has the longest continually operating hospital in Des Moines and is also one of the largest employers in the state, with more than 7,000 employees and a medical staff of more than 1,000 physicians and allied health associates. MercyOne Central Iowa is a member of MercyOne, which was founded in 1998 through a collaboration between CommonSpirit Health and Trinity Health two of the countrys foremost, not-for-profit Catholic health organizations. MercyOne has more than 20,000 colleagues in Iowa and surrounding states. Responsibilities: MercyOne North is looking for a Referral Specialist to join the team!In healthcare, we all agree that support is a must in order to be successful. Our Referral Specialists works with patients requiring a referral, to ensure patients referral needs are fulfilled for specialty service office visits. Main duties include processing referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement. If you have relevant experience in a healthcare setting, its time to connect with us!What You'll Do:Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.Enter referrals, documents communications and action into the system, as appropriate. Notify physician(s) and patient when referral is denied, or if additional information is needed.Develop and maintain database of referral physician offices preferred by each physician within the clinic.Assist Practice Manager with complaint resolution and solutions related to patient referrals.MercyOne Des Moines provides you with the same level of care you provide for others. We care about our employees' well-being and offer benefits that complement work/life balance.We offer the following benefits to support you and your family:Health/Dental/Vision InsuranceFlexible spending accountsVoluntary Protection: Group Accident, Critical Illness, and Identity TheftFree Premium Membership to Care.com with preloaded credits for children and/or dependent adultsEmployee Assistance Program (EAP) for you and your familyPaid Time Off (PTO)Tuition Assistance for career growth and developmentMatching 401(k) and 457(b) Retirement ProgramsWellness ProgramMercyOnes North Clinic Center invites you to join us today! Qualifications: Qualifications/Requirements:High School diploma or Equivalent Required.2 years of progressively responsible related experience in a healthcare environment required.

Keywords: MercyOne, Ankeny , Referral Specialist, Other , Ankeny, Iowa

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